Mestad, Renee E

Mestad, Renee E is an individual health care provider with primary practice located at 725 Irving Ave Suite 600, Syracuse NY 13210-1603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mestad, Renee E can be contacted via phone (315) 464-5162.

Contact Information

Primary practice address
725 Irving Ave Suite 600 Syracuse NY 13210-1603
Phone: (315) 464-5162
Fax: (315) 464-4613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 257554 New York

Profile Details

NPI number 1831166586
LBN Legal business name Mestad, Renee E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Nov 24th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831166586 NPPES
New York MEDICAID 03251461

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